Active NPI
James Sharpe, LMSW
- Addiction (Substance Use Disorder) Counselor
- Massapequa, NY
National Provider Identifier
1124429519
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- Practice address
- 75 Grand Ave
Massapequa, NY 11758-4905 - Phone
- (516) 799-3203
- NPI assigned
- Sep 4, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | Primary | ||
| Mental Health Counselor | 101YM0800X | |||
| Clinical Social Worker | 1041C0700X |
Addresses
Primary practice location
75 Grand Ave
Massapequa, NY 11758-4905
Mailing address
75 Grand Ave
Massapequa, NY 11758-4905
Phone (516) 799-3203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- May accept Medicare assignment
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
354 Veterans Memorial Hwy
Suite 5
Commack, NY 11725-4331
Phone (631) 600-3216
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Empite Tele-Psychotherapy LCSW PLLC | Clinical | Current | Accepting new patients |
| Dynamic Counseling LCSW PC | Mental Health | Current | Accepting new patients |
Locations
354 Veterans Memorial Hwy
Ste 5
Commack, NY 11725
Phone (631) 600-3216
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Mental Health Counselor
- Commack, NY
- NPI 1457949562
-
- Clinical Social Worker
- Dix Hills, NY
- NPI 1194417949
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1409788800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1409788800000",
"number": "1124429519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "75 GRAND AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584905",
"telephone_number": "516-799-3203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75 GRAND AVE",
"city": "MASSAPEQUA",
"state": "NY",
"postal_code": "117584905",
"telephone_number": "516-799-3203"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHARPE",
"first_name": "JAMES",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-09-04",
"last_updated": "2014-09-04",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Massapequa, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.